NPI: 1720671688 · OKLAHOMA CITY, OK 73120 · Clinical Medical Laboratory · NPI assigned 02/11/2021
| Authorized Official | SULLIVAN, JACK (OWNER) |
| NPI Enumeration Date | 02/11/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 34 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 34 | 32 | $2K |